Sample interview questions: How do you handle patients who require intraoperative hemodynamic monitoring?
Sample answer:
- Conduct a Thorough Preoperative Assessment:
- Gather detailed information about the patient’s medical history, current medications, and any potential risk factors that may influence hemodynamic stability during surgery.
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Review the patient’s chart to identify any existing cardiovascular conditions, respiratory issues, or coagulation disorders that may require specific monitoring.
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Establish Reliable IV Access:
- Secure two large-bore IV lines in appropriate veins, preferably in the antecubital fossa or the dorsal aspect of the hand.
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Ensure that the IV lines are patent and allow for easy administration of fluids, medications, and blood products if necessary.
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Connect the Patient to Monitoring Equipment:
- Attach non-invasive blood pressure cuffs to both arms and set them to record blood pressure every 5-15 minutes.
- Place ECG electrodes on the patient’s chest to monitor heart rate, rhythm, and ST-segment changes.
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Connect a pulse oximeter to the patient’s finger or earlobe to continuously monitor oxygen saturation.
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Insert an Arterial Line:
- Identify an appropriate arterial site, such as the radial or femoral artery, and insert an arterial line under sterile conditions.
- Connect the arterial line to a pressure transducer and monitor for continuous arterial blood pressure readings.
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Ensure that the arterial line is flushed regularly to prevent clotting and maintain accurate readings.
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Consider Placing a Central Venous Catheter (CVC):
- In cases where prolonged hemodynamic monitoring is anticipated, or if central ve… Read full answer
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